Individual provider · NPI-1

Shannon Burns, LMT

Massage Therapist · Denton, TX

NPI number1427632256
StatusActive
Last updated in NPPESMay 7, 2021

Details

NPI
1427632256
Entity type
Individual (NPI-1)
Name
Shannon Burns
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
May 7, 2021
Certification date
May 7, 2021
Last updated
May 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT130432TXYes

Practice location

501 S Carroll Blvd Ste 101
Denton, TX 76201-7423

Phone 940-328-9560

Mailing address

2908 Lakewood Dr
Denton, TX 76207-1263

Phone 940-328-9560

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